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Predicting the therapeutic response to cognitive behavioral therapy in patients with pharmacoresistant obsessive-compulsive disorder.
Vyskočilová, Jana ; Šípek, Jiří (advisor) ; Šivicová, Gabriela (referee)
I chose the theme of obsessive-compulsive disorder as a topic of my thesis. The main reason was that it is a disorder I have worked as a therapist in individual or group therapy frequently. Also I have participated in several studies as evaluator in Psychiatric Centre, and I collected data from dozens of patients. In the first part the thesis deals with the symptoms, clinical picture, prevalence, aetiology and treatment of OCD. Thesis is focuses on behavioural and cognitive models of the disorder in detail, because the treatment used in the present group of patients was CBT. Various models of cognitive behavioural therapy I discuss in more detail, because they allow different views of what happens to the patient and how to change it. The practical part has two parts. The first deals with the effectiveness of group cognitive behavioral approach for OCD patients, who use antidepressants but were resistant to previous treatment and were attended a daycare center at the Prague Psychiatric Center. The second part of the thesis deals with finding a predictor of successful cognitive behavioral therapy in these patients. The aim was to determine whether certain demographic or clinical factors that we evaluated before treatment may predict success outcome. The result is the finding that severity of the...
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The effect of group CBT psychotherapy on the level of functional personality skills in relation to identity in patients with neurotic disorders
Škrábová, Michaela ; Preiss, Marek (advisor) ; Doubková, Nikola (referee)
This thesis aims to test the effectiveness of cognitive behavioral therapy for hospitalized and outpatients at the National Institute of Mental Health who have been diagnosed with anxiety spectrum disorder. It focuses on mapping the patients' personal functioning in relation to the identity dimension. For this purpose, the semi-structured interview STiP-5.1 according to the alternative model of DSM-5 and the Personality Functioning Skills Scale LPFS-BF 2.0 were used.The literature review section focuses on the introduction of identity and its development as a lifelong process, introducing the different components of identity and relevant theories in contrast to the current conception of identity with regard to the research aim. Furthermore, space is devoted to the concept of neurotic disorders classification systems and their characteristics in terms of personal functioning and identity. Subsequently, the concept of personality functioning and the theoretical background of the alternative DSM-5 model on which it is based are introduced. The literature review part of the paper concludes with a description of the theoretical background of the patients' treatment plan. The empirical part of the thesis defines the research and research questions. The methods used and the method of statistical data...
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Comparison of tinnitus treatment by selected therapeutic approaches.
Klíma, Jiří ; Malá, Jitka (advisor) ; Vláčilová, Ivana (referee)
Author: Bc. Jiří Klíma Title: Comparison of tinnitus treatment with selected therapeutic approaches Objectives: The aim of this thesis is to investigate the effectiveness of selected therapeutic approaches in the treatment of subjective chronic tinnitus. These approaches are manual therapy, low-power laser therapy and cognitive behavioural therapy. Another aim is to determine which of these approaches is the most effective. Last but not least aim is to summarize the current knowledge about tinnitus. Methods: The thesis is processed in the form of literature review. First, the current theoretical background is described, then the objectives of the thesis and research questions are set. Then the methodology is described and the results are presented and discussed. Last but not least, the limitations of this thesis and the studies are described. Results: In total, 13 studies were found that met the criteria. Based on these studies, it appears that both manual therapy and cognitive behavioural therapy lead to a significant reduction in tinnitus severity in some patients with subjective chronic tinnitus. The results of studies investigating the effect of low-power laser therapy have been inconsistent, but most have concluded that it is also effective in reducing the severity of tinnitus in patients with...
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A pilot study of efficiency of cognitive behavioral treatment on pacients with anxiety disorders with special focus on intimacy
Hanušová, Nikola ; Preiss, Marek (advisor) ; Klusák, Miroslav (referee)
In my master's thesis, I investigate the effectiveness of cognitive-behavioral therapy on patients with anxiety disorders, with a specific focus on the area of intimacy. I examine changes in personality functioning, differences between the control and experimental groups, the influence of program completion under different conditions, and the impact of socio-demographic variables. The pilot study subjects are patients who completed the program in Ward 1 or attended the day clinic at the National Institute of Mental Health. The patients underwent a six- week cognitive-behavioral therapy program with elements that focus on intimacy. Interviews were conducted with patients at the beginning and end of the program to monitor changes in personality functioning. The research tools STiP 5.1 and LPFS-BF 2.0 were used for measurement. The results were subsequently compared with respondents from the intact population (currently not undergoing any psychotherapeutic or psychiatric treatment) who underwent interviews at the same time intervals. It was found that it is possible to measure disruptions in personality functioning of anxious patients based on STiP 5.1 and LPFS-BF 2.0, which differ from the personality functioning of the intact population. Based on the comparison of the first and second assessments of...
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Change in body composition of overweight and obese clients after weight reduction intervention using group cognitive behavioral therapy
Šuterová, Jana ; Slabá, Šárka (advisor) ; Málková, Iva (referee)
The main aim of the study is to determine a body composition in participants of weight reduction program STOB, based on group cognitive behavioral therapy of obesity. The program lasted 12 weeks and participants underwent a cognitive behavioral therapy and followed a diet and physical activity plan. The body composition was measured by bioelectrical impedance InBody 230 at the initial and final lesson. We examined a participant's body weight, skeletal muscle, fat mass, abdominal fat mass and BMI. At the end of the weight reduction program participants lost 5% (-4,6kg) of their initial weight, achieved significant decrease in fat mass (average -4,3kg and -3%), lost 14,4cm2 of abdominal fat mass and mean BMI value decreased by 1,7. A muscle component hasn't significantly changed within the weight reduction program. The effect of 12 week weight reduction program STOB resulted in significant changes in body composition, which are associated with reduced risk of cardiovascular and metabolic complications of obesity. Using cognitive behavioral therapy as an obesity management strategy is positively evaluated especially for its effect on long term weight reduction and effective relapse prevention. Therefore a future study should be focused on a long term re-evaluation of changes in body composition in...
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Predicting the therapeutic response to cognitive behavioral therapy in patients with pharmacoresistant obsessive-compulsive disorder.
Vyskočilová, Jana ; Šípek, Jiří (advisor) ; Šivicová, Gabriela (referee)
I chose the theme of obsessive-compulsive disorder as a topic of my thesis. The main reason was that it is a disorder I have worked as a therapist in individual or group therapy frequently. Also I have participated in several studies as evaluator in Psychiatric Centre, and I collected data from dozens of patients. In the first part the thesis deals with the symptoms, clinical picture, prevalence, aetiology and treatment of OCD. Thesis is focuses on behavioural and cognitive models of the disorder in detail, because the treatment used in the present group of patients was CBT. Various models of cognitive behavioural therapy I discuss in more detail, because they allow different views of what happens to the patient and how to change it. The practical part has two parts. The first deals with the effectiveness of group cognitive behavioral approach for OCD patients, who use antidepressants but were resistant to previous treatment and were attended a daycare center at the Prague Psychiatric Center. The second part of the thesis deals with finding a predictor of successful cognitive behavioral therapy in these patients. The aim was to determine whether certain demographic or clinical factors that we evaluated before treatment may predict success outcome. The result is the finding that severity of the...
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The process of supervision in training in cognitive behavioral therapy and expectations of supervisors and those supervisees from supervisit
Vyskočilová, Jana ; Praško Pavlov, Ján (advisor) ; Kožnar, Jan (referee)
Bc. Jana Vyskočilová, FHS Řízení a supervize, Abstrakt k diplomové práci. ABSTRACT The first part of the study deals with theoretical issues of supervision, especially supervision in cognitive behavioral therapy. The practical part is focused to mapping the expectations of supervision of trainees of CBT training in various phases of their training (after 1 year of training and after the fourth year of training, prior to training) and expectations of supervision of trainees training in CBT supervision. ABSS (Attitudes and Beliefs about Supervision Scale) was used as an evaluation instrument to assessed the expectations and beliefs of supervision. The expectations of probands with different experience in supervision were compared to find out where are consensual and where differ. The results show that trainees in supervision (Supervisors) emphasize particularly the importance of self-reflection and structures, Intermediate and advanced training students differ in their attitudes and expectations of supervision minimally (increased emphasis on counter-transference in intermediate students). Probands who are just going into training and have no previous experiences with supervision generally have higher expectations of supervision than trainees, who are already undergoing training. The finding that...
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